December 2021 - Prega News | Pregnancy Test | Pregnancy Test at Home | Pregnancy Test Kit

Pregnancy Diet When You Are Pregnant With Twins

It is indeed a memorable moment, when you first see the two pink lines on your Prega News home pregnancy test, isn’t it? This joy and happiness is only doubled when you finally see your doctor and discover that you are expecting not one but two bundles of joy! However, with twin pregnancy comes more nutritional needs! A healthy diet, the right weight and getting the right nutrients – all these can help you enjoy a safe and healthy pregnancy and weight gain. So here’s how to do it! 

The Calorie Count

In today’s world nobody is a stranger to the calorie count – that is the number of calories we consume in a day. Depending on your height, weight, age, BMI and other such factors, it is possible to calculate how many calories you need in a day, on an average. If you’re unsure, you can always ask your doctor about your usual calorie count. However, when you’re pregnant you are nurturing another life, and thus need something extra to help develop the baby. This is even more so, when you’re pregnant with twins. Although the calorie count doesn’t increase by an astonishing level, it is still a crucial indicator of how much to eat and significantly contributes to the babies’ growth. After you know your average calorie intake (in normal state), you can use the following chart to understand how many extra calories you need in each trimester. 

Pregnant woman is Counting a calorie using calorie counter app

Trimester

Extra calories needed per day

First

300

Second

680

Third

900

*Source: https://www.thebump.com/a/what-to-eat-pregnant-twins-triplets

 

Nutritional Doctors

Although the calorie intake is a good measure of how much to eat, the important thing to remember is what to eat during pregnancy. When you’re pregnant, it is important to eat wholesome and nutritious meals that aid the adequate growth of your baby or babies. When you’re pregnant with twins, your diet would be around the same as a single pregnancy, however the amount of each nutrient would be increased to meet the needs of the babies in the womb. As with any pregnancy, it is important to keep a note of foods to avoid during pregnancy.

 

Another good rule of thumb would be to eat when you’re hungry and stop when you feel full. It is advisable to include fresh fruits, vegetables and whole foods in your diet and cut back on processed and fast food, which have little or no nutritional value. As twin pregnancies often cause more nausea and sickness, you can try eating several small meals throughout the day instead of 3-4 big meals. When it comes to broader food groups, try to get 20% of calories from protein, 50% from carbs (except white carbs) and 30% from healthy fats. Among nutrients, zinc, folic acid, magnesium, calcium, iron and vitamins are some of the things you should be looking at while researching pregnancy foods. Here’s a list of foods that you can eat during twin pregnancy to get the best out of your diet:

 

  • Protein: Try including properly cooked eggs, lean meats like chicken and turkey, tofu and other sources of protein like yoghurt, cheese etc. 
  • Calcium: All dairy products like milk, yoghurt, cheese are good sources of calcium. 
  • Carbs: Opt for whole wheat and whole foods in rice, pasta and other forms of carbs. You can also have moderate amounts of starchy vegetables like potatoes to fill up on carbohydrates. 
  • Vitamins and minerals: All leafy greens and fresh fruits and vegetables have ample amounts of vitamins and minerals and should be a part of your pregnancy diet. 
  • Iron: A measured helping of seafood, red meat or nuts can help you get ample iron during pregnancy.  You can also consult your dietician to understand what is safe for you.
  • Beverages: Drink plenty of water, fresh fruit juices and other nutritional beverages to stay hydrated during pregnancy. 
  • Supplements: Your doctor will recommend pregnancy supplements like vitamins etc. to ensure that you and your babies get all the essential nutrients for growth.

 

Pregnant woman standing on the weighing machine

The Kind of Weight You Should Gain

Weight gain is a natural part of pregnancy and your weight gain will determine the growth and development of your baby. Thus it is important to eat right and gain the right amount of weight, to have an uncomplicated birth and a healthy baby. Gaining too little or too much weight can be detrimental to both you and your baby, so it’s a good idea to keep an eye on those scales. Here’s a quick chart to help you understand how much weight should be gained during pregnancy with twins:

BMI

Ideal weight gain for twins (kg)

Underweight: BMI<18.5

22.6 – 28.1 

Normal weight: BMI 18.5 – 24.9

16.7 – 24.4 

Overweight: BMI 25 – 29.9

14.06 – 22.6 

Obese: BMI 30 or more

11.3 – 19 

*Source: https://www.cdc.gov/reproductivehealth/maternalinfanthealth/pregnancy-weight-gain.htm

 

This weight is calculated based on your existing weight, height and age which can help calculate your BMI. 

 

FAQ

 

Should I eat more when I expect multiple pregnancies?

Rather than eating more, it is important to focus on eating right during multiple pregnancies. While you do need extra calories during pregnancy, the right diet and food groups can help you accommodate these needs in your lifestyle with ease. Apart from extra calories, focus on getting all the essential nutrients like iron, calcium, protein, fats, vitamins etc. that help in the babies’ growth. You can also consult your doctor to check if you need supplements during the pregnancy or also on the quantity of food to be consumed.

 

If I struggle to eat, will the babies get the right nutrients?

As with any pregnancy, the nausea and sickness can be a cause of concern during twin pregnancy too, even more so. If you’re having trouble eating, you can try several small meals during the day instead of big meals. There are also herbal teas and foods that can help prevent nausea. If the nausea persists or is too much, consult your doctor for an adequate diet or supplements.

 

Should I follow any specific diet if I am pregnant with twins or triplets?

When pregnant with twins, ensure that you get adequate calories during each day. As with any pregnancy, it is important to eat the right foods like fresh fruits and vegetables, whole foods etc. to get the right nutrients. Your doctor can give you a detailed diet based on your conditions and lifestyle and also recommend supplements, if needed. Focus on eating right and gaining the right weight to ensure a healthy pregnancy and birth.

How to take care of a baby’s health during a pandemic

Giving birth to your newborn during a pandemic can seem like a scary thought but thanks to the relentless efforts of doctors and nurses, it is becoming more normal with each passing day. After all, this is the day you have been waiting for ever since you saw the two pink lines on the Prega News test kit. But what about when you bring your baby home? Well, you will be glad to know that with a few precautionary measures you can take good care of your baby even during the pandemic. While all previous health advisories are still in place, taking a few extra steps can ensure that your newborn is healthy even in these current circumstances. Ways to keep the baby healthy There are some things you can do to keep your baby healthy during a pandemic – follow these easy steps to ensure a healthy and happy baby! Breastfeed your baby: Unless otherwise advised by doctors, always breastfeed your baby. Breastfed babies are less susceptible to infections and are healthier and more immune to harmful viruses.

  • Get vaccinated: After consulting your doctor, get all the recommended vaccinations for yourself and your baby. Flu shots, COVID-19 vaccine and some others are often recommended to both pregnant and new mothers.
  • Skin to skin contact: Skin contact with babies has proven to be beneficial for both mothers and babies as it helps develop the bond and also promotes healthy growth in babies.
  • Postpartum care: Your well-being directly affects your baby’s health so ensure that you indulge in good postpartum care to be your healthy self for the baby.
  • Ensure your baby gets enough sleep: Sleep is essential for everyone, more so for newborns. You can take a few measures like a good massage, setting the right temperature, soft but firm bedding etc. to ensure a good sleep for your little one. As the baby gets older, you can include bedtime routines like lullabies and warm baths to help them sleep better.
  • Schedule regular health check-ups: It’s a good idea to schedule health check-ups for you and your baby, regularly. You should also consult the pediatrician to know more about caring for your newborn. They will keep you updated on vaccinations and other measures to keep your baby safe during the pandemic. Precautions that parents need to take While you are taking care of the baby, there are some steps you can take to further ensure that your baby is not exposed to COVID-19 or other viruses:
  • Limit your bubble: Your baby’s immunity is not fully developed so it’s best to limit your social bubble to the immediate members who are staying with you. You can make use of social media and other video calling apps to introduce your newborn to friends and family.

Limit your outdoor exposure: Apart from getting exercises and running essential errands, ensure that you limit your outdoor exposure. Opt for online delivery services for groceries and baby care items and never step out without a mask.

● Maintain good hygiene: Wash your hands frequently and thoroughly, especially before and after caring for your baby. Keep all surfaces clean and properly sanitize baby’s items before using them.

● Maintain 6 feet distance: If you have to interact with members outside of the household, ensure that you maintain a 6 feet distance with them.

● Know the signs and symptoms: Being aware of all the symptoms and signs of COVID-19 is helpful as you can immediately take precautions. Also, consult your doctor and pediatrician on what to expect during the first few months – to be prepared at all stages. Breastfeeding while infected with COVID-19 Breast milk has not shown any transmission of COVID-19 virus, yet, in the limited studies that have been conducted on it. So it is generally considered safe to breastfeed your baby even when you are infected. However, it’s best to consult your doctor and your baby’s pediatrician before doing so. If the doctor gives the go-ahead, you can use the following measures to keep your baby safe from COVID-19:

● Always wear a mask around the baby: Even if you are several feet away but in the same room, always wear a mask while being around the baby. As the infection spreads through the droplets during a cough or sneeze, a good quality medical mask can prevent the spread to your baby.

● Maintain good hand hygiene: Always wash your hands thoroughly before and after holding/breastfeeding your baby.

● Keep the house and baby’s room hygienic: You may not be able to use sanitizers and harsh cleaners in the baby’s room so you can use sanitizing baby-safe wipes and milder solutions to keep the baby’s room, all surfaces and things clean.

● Sleep separately: Even if you are breastfeeding at night, ensure that your baby sleeps separately in his/her cot, post feed.

● Use pumps and bottles: If you are still skeptical, you can feed pumped breast milk to your baby. Make sure you wear a mask even during pumping and sterilize the bottle and pump well. You can give the bottle to a non-infected member to feed the baby.

FAQ

Can I touch and hold my baby if I have COVID-19?

Yes, contact with newborn is always encouraged from mothers as it promotes bond and health. If you have COVID-19, it’s best to wear a medical mask at all times when you are near the baby. Maintain good hygiene, wash your hands thoroughly before and after holding the baby and keep all the surfaces clean and hygienic. However, always consult your doctor before taking care of your newborn if you have COVID-19, as they will be able to give you the best way to do so.

How can parents protect newborns once they go home?

When you bring home your baby, there are some ways to protect your baby from infections and the pandemic. The first and foremost being, limiting exposure to people. It is advisable to only have members of the family or caretaker care for the baby, who are living with you in the same house. Siblings and other members who care for the baby should always maintain good hygiene – washing hands frequently, wearing masks near the baby and limiting their exposure to others. Opt for online deliveries for essentials and step out only when absolutely necessary and with masks. Always consult your doctor for best practices when it comes to caring for your newborn during the pandemic.

If mom gets COVID-19 and she’s breastfeeding, will it transfer to the baby?

Breastfeeding has not yet shown traces of transmission during COVID-19, however all precautions must be taken to protect your baby. Always consult a doctor if you have COVID-19 or have symptoms. COVID- 19 usually spreads through bodily fluids when you cough or sneeze so it’s best to maintain good respiratory masks when you are near the baby. If you are breastfeeding, always wash your hands thoroughly before and after. Maintain clean surfaces and always practice good hygiene measures. You can also try pumping your milk into a bottle and giving the bottle to a non-infected family member to feed the baby.

Getting Vaccinated During Pregnancy – What to Expect?

 

When you are pregnant, the focus is naturally shifted towards ensuring a safe, healthy and happy pregnancy leading to a safe childbirth and healthy baby. From the moment you see the two pink lines on the Prega News home pregnancy kit, you focus on doing everything right for your little one. While many talk about maintaining an ideal weight and eating healthy during pregnancy, there’s little conversation around vaccines and their importance during pregnancy. However, this too is an important aspect of pregnancy that should not be overlooked. Vaccines during pregnancy are based on your existing health conditions, any threats, lifestyle etc. The best approach is to consult your doctor and get the vaccines recommended. Another way of going about this is consulting your doctor while planning a baby, so your doctor can recommend any pre-pregnancy vaccines if needed. However, if you are already pregnant, here’s a look at the vaccination recommendations and needs during this time. 

 

Recommended vaccines

 

While the exact vaccines are often decided by your doctor depending on your age, health conditions, previous immunization records and other such factors, there are a couple of vaccines almost always recommended for pregnant women:

 

  • Flu or Influenza Vaccine: This vaccine is usually considered safe to take during any time of pregnancy, more so if you’re pregnant during the flu season. This prevents both mother and baby from the flu. 
  • Tetanus/Diphtheria/Pertussis or Tdap Vaccine: This vaccine is recommended for pregnant women and can be taken at any time during pregnancy, although it is recommended to get it between 27-36 weeks. 

 

Apart from these vaccines, your doctor may recommend some other vaccines depending on your overall health. 

 

  • Hepatitis A Vaccine: This is generally recommended for women with chronic liver disease or if they are living with someone who has Hepatitis A. If your dose is scheduled during pregnancy, it is generally safe to take the same. 
  • Hepatitis B Vaccine: If you are a healthcare worker or are at risk for the same, this may be recommended for you during pregnancy. 
  • Hib Vaccine (Haemophilus influenzae type B): This is recommended for women who lack a functioning spleen. If you need the vaccine, it can be given during pregnancy. 
  • Pneumococcal Vaccine: If you have diabetes or kidney disease (not gestational diabetes), you may be advised to take the Pneumococcal vaccine to prevent certain types of pneumonia and it is safe to take it during pregnancy.

 

What are the risks?


While the above mentioned vaccines are generally considered safe during pregnancy, you should consult your doctor before taking any vaccine shots. Your doctor will analyze your
overall health, age, weight, lifestyle and other factors before giving you the pregnancy vaccines’ list. While there’s little to no risk with vaccines during pregnancy, one must ensure that the clinic or doctor is authorized to administer vaccines during pregnancy. You should also double check the hygiene conditions of the clinic or doctor’s chamber and make sure that you get a clean and sterilized vaccine kit. Apart from taking precautions, there are some vaccines which are not recommended during pregnancy as they can potentially harm both baby and the mother:

 

  • HPV or Human papillomavirus: This is recommended before or after pregnancy and not during the pregnancy. Your doctor will tell you if you need one, depending on your health and previous vaccinations. 
  • Measles, mumps rubella or MMR: This is also not a vaccine that is recommended during pregnancy. Your doctor may do a routine check-up pre-pregnancy and recommend it if you are at risk. 
  • Chickenpox: This is also not recommended for pregnant women and should be taken before or after pregnancy. 

Apart from these precautions, your doctor will be able to guide you best to prevent any health risks while taking vaccinations during pregnancy. 

 

What is the best time to get vaccinated?

 

Each vaccination has a specific recommended timeline. Thus it’s ideal to consult your doctor while planning a family to get a full recommended list of vaccines for pre-pregnancy, during pregnancy and post pregnancy. The best time is also determined by your previous vaccinations and how long ago they were administered, apart from other factors like regular health check-ups, blood tests and hereditary conditions. 

 

It is recommended to get the MMR and chickenpox vaccine before you get pregnant while the influenza and Tdap are recommended during pregnancy. Any booster doses or other essential vaccines can be scheduled post birth with your doctor’s consultation. However, it is a good idea to consult your doctor as soon as you plan a family or conceive so your doctor has ample time to schedule the necessary vaccines. 

 

FAQ

 

Are vaccines safe during pregnancy?

With your doctor’s consultation, some vaccines like influenza and Tdap are not only safe but also essential to take during pregnancy. Apart from these, your doctor may also recommend other vaccines, depending on your health conditions and potential risks. While some vaccines are generally considered safe during pregnancy, the best way to find out is by consulting your doctor for a personalized list of recommended vaccines during pregnancy. 

 

Will it affect my fertility?

As long as your doctor gives you a go-ahead for your pregnancy vaccinations, it should not affect your pregnancy or your chances of conceiving later. If you have any doubts about any vaccine or other factors affecting fertility, it’s best to consult your doctor for the same.

 

Which vaccines should I get if I am pregnant?

When you’re pregnant, the influenza and Tdap vaccines are recommended. Apart from this, your doctor may recommend additional vaccines depending on your overall health conditions, potential threats, previous vaccines and hereditary history.

 

 

Must-have health check-ups before becoming a parent

When you start planning your family, it’s normal to start dreaming about the moment you see the two pink lines on the Prega News home pregnancy test kit, or about the moment when you will hold your newborn in your arms. It is a big milestone in any person’s life and should be cherished. However, to ensure that the days ahead are happy and healthy, there are some things to be considered when you start planning a family and also ensure that your health is monitored before conceiving. When considering family planning, you must consult your doctor for health check-ups including hereditary diseases etc. and there are some things to ask your doctor before you conceive that can help you prepare better for the road ahead. Additionally, your doctor may also recommend some tests and ask questions that will help assess the fertility of both you and your partner. There are many things in today’s world like stress, lifestyle and other factors that can affect your fertility or even the pregnancy. So it’s best to consult your doctor before you start trying to have a baby.

 

Importance

 

Pre-pregnancy health check-ups are extremely important and can help avoid certain conditions or health risks that may affect you or your baby. With pre-pregnancy check-ups, it’s possible to assess the fertility of the couple, which can give you a better idea of the road ahead – what to expect and how long it can take to conceive. Along with this, pre-pregnancy health check-ups also include assessing overall health, genetic disorders, hereditary diseases and more that can possibly affect your pregnancy or even your baby. Thus, it’s important to get these tests done to eliminate any chances of not being able to conceive, miscarriage, preterm birth and also help ensure a healthy baby, post a safe birth. 

 

List of check-ups

 

When you consult your gynaecologist, they will recommend tests to assess you and your partner’s overall health. While these tests are often determined by both individuals’ family history, healthy history etc. there are some tests that should almost always be included in the pregnancy health check-up:

  • Routine OB-GYN check-up: If you haven’t already started, this is a good time to have a dedicated gynaecologist in order to help you understand more about your reproductive health. They can help you track menstrual cycles, understand your fertile window and also conduct ovulation tests. Additionally, they may also advise getting your partner’s sperm tested for understanding his reproductive health. It is also advisable to do a check-up for STIs as these can often hamper your chances at conceiving. 
  • Getting tested for hereditary or genetic disorders: Whether your family has a history of diabetes, or some genetic disorder on either side, it’s important to get tested for these. Knowing your family history and health, can help avoid many genetic problems in baby and even chances of miscarriage. 
  • Vaccinations: Your doctor will check your previous immunization records and may ask for some blood tests to check for antibodies. This is a good time to get your vaccinations up to date as there are some vaccines which are not safe during pregnancy but can be given before or after to protect both mother and baby.
  • Dental check-up: Pregnancy often causes gum inflammation which can lead to infections. As radiation from X-rays should be avoided during pregnancy, it is best to address your dental health before pregnancy so the dentist can treat any existing problems. 
  • Mental health check-up: Although this may come across as unheard of, mental health is of paramount importance when it comes to planning a family. Stress, depression, anxiety and other such mental illnesses have become fairly commonplace, owing to the fast paced lifestyle. These can not only affect your fertility, but also affect the pregnancy, leading to preterm birth*. If you are already consulting someone or are under prescribed drugs, it’s best to cross-check these with the doctor before trying to conceive. It is also a good way of addressing the mental health issues and ensuring that you are at your best self when you bring home the baby. 
  • Lifestyle habits: Depending on your lifestyle, your doctor may recommend further changes and tests to determine the effect of common everyday habits like fast food and drinking on your overall health like kidney function, liver function etc. to better prepare for the arrival of your baby. Recreational drug usage, alcohol consumption and smoking is to be stopped completely and even caffeine intake have to be monitored and modified to ensure a healthy pregnancy and baby. This may also include physical exercises to stay healthier. 
  • Physical check-up: You can consider getting a physical check-up done to address any small or underlying issues that may have been nagging you for a while. It’s essential to be in good physical and mental health before bringing home your baby. If you have any back aches, joint pain, susceptible injury spots etc., this is the time to address all of those. You will not only be carrying your baby to term but also tending to a newborn and thereafter a child, so you should be in good physical health with plenty of energy. 
  • Dietary check-ups: There are certain foods that can help you be in your best health and others that can hamper your health and chances of conceiving. So it’s a good idea to have your dietary preferences cross-checked by a specialist to ensure that you are eating the right food. 

 

Whom to see – types of practitioners 

 

Depending on the tests recommended, you will need to see different specialists or practitioners, who can help you during this time. While your general physician can give you a full list of doctors to consult, here are some practitioners you should include in your pre-pregnancy check-up:

 

  • General physician – for a full body health check-up including hereditary and genetic history. 
  • Gynecologist – for assessing reproductive health of both you and your partner. 
  • Dentist – to get a regular check-up and ensure your dental health is okay before getting pregnant. 
  • Physiotherapist – addressing any pain/niggle in your body, as you will not only need to carry your baby but also tend to the newborn, which would require good physical health and energy. 
  • Psychologist – to address any existing or underlying mental health illnesses like stress, anxiety etc. 
  • Dietician – to ensure that you are eating healthy and eating the right food.

 

FAQ

Why is pre-pregnancy check-up necessary?

Along with determining your overall health for conceiving and carrying the baby till birth, pre-pregnancy check-ups also help find and treat other issues that can affect you or the baby. From genetic disorders to psychological issues – pre-pregnancy check-ups are necessary to ensure a healthy pregnancy, safe childbirth and healthy baby. 

 

What happens during the check-up?

During a pre-pregnancy check-up, your doctor will assess you and your partner’s chances of conceiving naturally. These tests will also help eliminate genetic and hereditary disorders that may affect the pregnancy or your baby. Through these routine tests, which often include blood tests and other scans, your doctor will guide you to ensure a healthy pregnancy, with minimized risks of miscarriage or preterm birth. 

 

Can I find out genetic health related answers with this test?

Yes, pre-pregnancy tests also help determine hereditary and genetic health related issues that can affect the pregnancy and your baby. The doctor will likely recommend these tests for both you and your baby, to rule out genetic disorders from either parent.

 

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